Individual provider Active NPI

Kristin Fowler

  • Physical Therapist
  • New York, NY
National Provider Identifier
1134904683
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050844 Issued in NY
Practice address
36 W 44TH St Ste 403
New York, NY 10036-8107
Phone
(212) 759-2280
Fax
(212) 938-0015
NPI assigned
Aug 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02189100 NJ
Physical Therapist 225100000X 050844 NY Primary

Addresses

Primary practice location

36 W 44TH St Ste 403
New York, NY 10036-8107

Mailing address

31 E 32ND St FL 4
New York, NY 10016-5595
Phone (212) 759-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230915002478 NY Practitioner - Physical Therapist in Private Practice 0547624082 Reassigns benefits to 1 organization
I20250811002508 DC Practitioner - Physical Therapist in Private Practice 0547624082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Rutgers New Jersey Medical School, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 H St NW
Suite Ll110
Washington, DC 20005-5476
Phone (202) 347-2373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050844NYMDPharmacist
40QA02189100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Wellness Center for Physical Therapy and Sportscare, LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Washington Wellness Center for Physical Therapy and Sportscare, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

25 Massachusetts Ave NW
Ste C500
Washington, DC 20001
Phone (202) 808-9496

1100 H St NW
Ste LL110
Washington, DC 20005
Phone (202) 347-2373

1100 H St NW
#110
Washington, DC 20005
Phone (202) 347-2373

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

36 W 44th St
Ste 403
New York, NY 10036
Phone (212) 759-2280

36 W 44th St
New York, NY 10036
Phone (212) 251-0815

31 E 32nd St
Fl 4
New York, NY 10016
Phone (646) 973-5427

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1134904683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E 32ND ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165595",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W 44TH ST STE 403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368107",
            "telephone_number": "212-759-2280",
            "fax_number": "212-938-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02189100",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.